In an attempt to determine why high frequencies of circulating virus-specific CD8 ؉ T cells are unable to control human immunodeficiency virus and simian immunodeficiency virus (SIV) replication, we assessed the functional nature of SIV-specific CD8 ؉ lymphocytes. After vaccination and early after infection, nearly all tetramer-staining CD8؉ cells produced gamma interferon in response to their specific stimulus. However, by 4 months postinfection with pathogenic SIVmac239, signs of functional impairment in the CD8 ؉ T-cell compartment were detected which might prevent these T cells from efficiently controlling the infection during the chronic phase.It is still unclear why the immune system is not able to clear an infection with immunodeficiency viruses. These lentiviruses appear to have devised multiple strategies to evade the immune response (reviewed in reference 26), including major histocompatibility complex class I downregulation (10) and escape from cytotoxic T lymphocyte (CTL) responses (1,7,9,13,17,27). However, the maintenance of high frequencies of virus-specific cells against certain viral epitopes in human immunodeficiency virus (HIV)-infected humans (4, 23, 30) and simian immunodeficiency virus (SIV)-infected monkeys (19,20) indicates that these epitopes are still being recognized and have not mutated. While the invention of tetramers (4) made it possible to detect these high frequencies of virus-specific cells in HIV and SIV infection, tetramer staining simply identifies antigen-specific lymphocytes but does not provide information about the functional nature of these virus-specific cells.
Functionally impaired CD8ϩ T-cell responses have been previously described by Zajac et al. in chronic lymphocytic choriomeningitis virus (LCMV) infection (31) and by Lee et al. in a tumor system (22), where CTL were unable to directly lyse their specific target cells and produce cytokines in response to mitogens. We therefore were interested in investigating whether similar functional defects could account for the inability of CD8 ϩ T cells to control HIV and SIV infections. To address this question we combined tetramer-staining technology (4) and the intracellular cytokine assay (18, 25) to determine whether SIV-specific CD8 ϩ T cells manifest any functional defects.The majority of tetramer-positive cells produce IFN-␥ after peptide-specific stimulation in vaccinated animals and early after infection with pathogenic SIVmac239. Using an epitopebased DNA prime-modified vaccinia virus Ankara boost vaccine, we induced Mamu-A*01-restricted, p11C,C-M (CM9)-specific CTL (2) in three Mamu-A*01-positive rhesus macaques (95058, 95045, and 96031), as previously described (3). We followed the levels of Mamu-A*01/CM9-specific cells in these animals before and after intrarectal infection with SIVmac239 (molecular clone) by tetramer staining and investigated their ability to produce gamma interferon (IFN-␥) after antigen-specific stimulation using the intracellular cytokine assay. Fresh or thawed peripheral blood mononuclear c...